PDF(Pubmed)
Abstract：
Social connection is important for long-term care (LTC) residents\' quality of life and care. However, there is a lack of consensus on how to measure it and this limits ability to find what improves and impairs social connection in LTC homes. We therefore aimed to systematically review and evaluate the measurement properties of existing measures of social connection for LTC residents, to identify which, if any, measures can be recommended. We searched eight electronic databases from inception to April 2022 for studies which reported on psychometric properties of a measure of any aspect(s) of social connection (including social networks, interaction, engagement, support, isolation, connectedness, and loneliness) for LTC residents. We used COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines to evaluate the measurement properties reported for each identified measure and make recommendations. We identified 62 studies reporting on 38 measures; 21 measured quality of life, well-being or life satisfaction and included a social connection subscale or standalone items and 17 measures specifically targeted social connection. We found there was little high-quality evidence on psychometric properties such as sufficient content validity (n = 0), structural validity (n = 3), internal consistency (n = 3), reliability (n = 1), measurement error (n = 0), construct validity (n = 4), criterion validity (n = 0) and responsiveness (n = 0). No measures demonstrated satisfactory psychometric properties on all these aspects, so none could be recommended for use. Thirty-four measures have the potential to be recommended but require further research to assess their quality and the remaining four are not recommended for use. Our review therefore found that no existing measures have sufficient evidence to be recommended for assessment of social connection in residents of LTC homes. Further validation and reliability studies of existing instruments or the development of new measures are needed to enable accurate measurement of social connection in LTC residents for future observational and interventional studies.
UNASSIGNED: Social connection is fundamental to person-centered care in long-term care homes.There is insufficient evidence for the reliability and validity of existing measures.No current measures can be recommended for use based on existing evidence.A reliable and valid measure of social connection is needed for future research.
UNASSIGNED: Social connection is fundamental to person-centered care in long-term care homes.There is insufficient evidence for the reliability and validity of existing measures.No current measures can be recommended for use based on existing evidence.A reliable and valid measure of social connection is needed for future research.
摘要：
社会联系对于长期护理（LTC）居民的生活质量和护理至关重要。然而,关于如何衡量它缺乏共识，这限制了找到改善和损害LTC家庭社会联系的能力。因此，我们旨在系统地审查和评估LTC居民现有社会联系衡量标准的衡量标准属性，为了确定哪个，如果有的话,措施可以推荐。从成立到2022年4月，我们搜索了八个电子数据库，以获取有关社交联系（包括社交网络，互动,订婚,支持,隔离,连通性，和孤独）为LTC居民。我们使用基于Consensus的标准来选择健康测量指标（COSMIN）指南，以评估每个确定的测量报告的测量特性并提出建议。我们确定了62项研究，报告了38项措施；21项测量的生活质量，幸福感或生活满意度，并包括社会联系子量表或独立项目以及17项专门针对社会联系的措施。我们发现几乎没有关于心理测量特性的高质量证据，如足够的内容效度(n=0)，结构效度(n=3)，内部一致性(n=3)，可靠性(n=1)，测量误差(n=0)，结构效度(n=4)，标准有效性(n=0)和响应性(n=0)。没有任何措施在所有这些方面都表现出令人满意的心理测量特性，所以没有可以推荐使用。34项措施有可能被推荐，但需要进一步研究以评估其质量，其余4项不建议使用。因此，我们的审查发现，现有的措施没有足够的证据来建议评估LTC房屋居民的社会联系。需要对现有仪器进行进一步的验证和可靠性研究或开发新的措施，以便能够准确测量LTC居民的社会联系，以进行未来的观察和干预研究。
■社会联系是长期护理院以人为本的基础。现有措施的可靠性和有效性证据不足。根据现有证据，不能推荐使用当前的措施。未来的研究需要一个可靠和有效的社会联系衡量标准。
■社会联系是长期护理院以人为本的基础。现有措施的可靠性和有效性证据不足。根据现有证据，不能推荐使用当前的措施。未来的研究需要一个可靠和有效的社会联系衡量标准。
